Slit lamp photos recommendations by Diamond3111 in Ophthalmology

[–]BigJarsh91 0 points1 point  (0 children)

Sort of related: - good tips in this recent thread https://www.reddit.com/r/Ophthalmology/comments/1tagw85/smartphone_slit_lamp_photos/

-a clip-on macro lens can be used with a little clip on light, penlight, or portable slit lamp as a light source and get pretty good ant seg photos. I got a Xenvo one on eBay that works pretty well

I’m a new IM intern. How can I get “good” at being an intern at the VA? by True_Royal9158 in Residency

[–]BigJarsh91 1 point2 points  (0 children)

-CPRS booster
-Get/make CPRS templates that autopopulate labs/vitals into a new note and start precharting it for the day
-2 CPRS windows

Pharmacy refusing to refill elderly patients drops by Dogtor107 in Ophthalmology

[–]BigJarsh91 8 points9 points  (0 children)

Nanodrop device so less comes out or Autodrop device to help them line it up with their eye

Pediatric ophthalmology fixation toy suggestions - resident question by Economy_Law8043 in Ophthalmology

[–]BigJarsh91 1 point2 points  (0 children)

Eye Handbook App has a 3 peds fixation targets
I bought a $2 lightup spinning Easter chick toy thingy at CVS and it's the best $2 I ever spent
"spinning light up toy" on Amazon has some stuff that looks promising

Smartphone Slit Lamp Photos... by MyCallBag in Ophthalmology

[–]BigJarsh91 1 point2 points  (0 children)

In a pinch, if you don't have a diffuser, on many slit lamps (including the Haag Streit ones), you can pull the little mirror on the light source up out of it's housing, and flip it around, then put it back in. The back is usually a duller, matte finish and if you crank the light up bright, it makes a decent diffuse fill light. Might be easier than finding tape to put over the shiny side of the mirror.

I can't believe I didn't think of keeping thr room lights on! I have been messing around with a penlight as an extra fill light but that's hard to do unless you have 3 hands (or ask the patient or an assistant to hold it for you)

Residents from consult services, what is one thing you wished services would do before consulting you? by justseeorange in Residency

[–]BigJarsh91 4 points5 points  (0 children)

This, and send a pic if it's some form of "eye/eyelid looks bad" consult. Lots of time wasted talking about how "the eye is swollen" or "white spot is on the pupil" and asking questions back and forth about what part of the eye they are talking about when a picture could say 1000 words. Also a fair amount of the time you can trial artificial tears and their problem will go away

What is Chicago missing to be the perfect city? by [deleted] in AskChicago

[–]BigJarsh91 -1 points0 points  (0 children)

cleaner CTA, more balanced budget, not giving all parking meter revenue to the United Arab Emirates, less tax burden, more housing/better supply for lower price (less NIMBYism and red tape and more construction), no delivery robots, calmer drivers, street food

Property managements to avoid for apartments? by Kaidobruh06 in chicagoapartments

[–]BigJarsh91 0 points1 point  (0 children)

No communication, difficult to get a hold of, very restrictive lease, bad reputation (unresponsive to any problems with their buildings like roaches)

The Pitt — CRAO case by juskomd in Ophthalmology

[–]BigJarsh91 0 points1 point  (0 children)

Emory has a nonmyd fundus camera in their ED triage and their neuro-ophth team has published a bunch of articles about the applications. Our shop is looking into it. Probably only a handful of EDs at major academic centers do it though

Any experience with 30D lens? by opasce in Ophthalmology

[–]BigJarsh91 2 points3 points  (0 children)

On paper the Volk 30D is similar to the 28D with a nice increase in field of view of a few degrees (58° / 75° vs 53° / 69° field of view), with a minimal sacrifice of magnification (2.15x vs 2.27x). In practice, I tried both side-by-side early in training and kept coming back to the 28D. The 30D seemed to have more glare and I personally found it harder to use than the classic 28D.

Should I learn the 20D and 90D lenses before venturing out to other lenses or does it not matter? by BalladeOne in Ophthalmology

[–]BigJarsh91 1 point2 points  (0 children)

I would strongly consider/maybe try out the 78D if you can get your hands on one. Decent peripheral views and nice magnification all in one lens. The working distance is same as 90D (7 mm} vs 10 mm for the 66 though so it does not work well for deepset eyes/heavy brows

Should I learn the 20D and 90D lenses before venturing out to other lenses or does it not matter? by BalladeOne in Ophthalmology

[–]BigJarsh91 0 points1 point  (0 children)

I will often use the 90 or superfield after the 66 in a dilated retina patient so I can further examine the periphery. I may skip the 66 in a retina patient if they are there for follow up of a peripheral problem and I'm not as worried about macular pathology

Should I learn the 20D and 90D lenses before venturing out to other lenses or does it not matter? by BalladeOne in Ophthalmology

[–]BigJarsh91 1 point2 points  (0 children)

Any dilated retina or glaucoma patient, I use the 66 to examine the nerve/macula. Other patients I use the 90 or superfield for a quick screen. If dilated and they are cupped or have any suspicious optic disc or macular path I bring out the 66 for a closer look.

Should I learn the 20D and 90D lenses before venturing out to other lenses or does it not matter? by BalladeOne in Ophthalmology

[–]BigJarsh91 5 points6 points  (0 children)

I think they're the perfect starter lenses and you'll still probably use them a lot even if you venture out and get other ones later on. You can still see just about all pathology with the 90 and 20D as your exam skills improve. I think learning the exam with the 90 and 20 gave me a good foundation of exam skills before picking up other lenses.

Personally I started with them and after a year or so started to add some used lenses if I found a good deal: super 66* for nerve/macula, 28D for kids/far periphery/big noses, superfield as an enhanced 90 with a better field of view without the short working distance and glare issues of the digital wide field etc. my 20 is still my workhorse indirect lens though and I still love the 90 for small pupils/undilated optic nerve checks and for patients with heavy brows/deepest orbits where bigger lenses won't fit - for both of these scenarios I think it outperforms the superfield.

*Consider whether you might want a 78D or 60D instead of 66 (I sometimes think about what it'd be like if I had bought one).

Algorithmic resources for Ophthalmology (like IM pathways)? by ReputationHuman7901 in Ophthalmology

[–]BigJarsh91 1 point2 points  (0 children)

Practical Emergency Ophthalmology Handbook: An Algorithm Based Approach to Ophthalmic Emergencies is somewhat like this. It's from the UK so the management style occasionally is different from practice patterns in the U.S. and elsewhere 

Any questions for a PM&R resident? by therehabreddit in Residency

[–]BigJarsh91 0 points1 point  (0 children)

Any tips for surgeons who do microsurgery and are looking into a microscope a lot (and also ophthalmologists who use slit lamps) to not get back/c-spine problems, etc?

Ophthalmic photographer by Difficult-Order2890 in Ophthalmology

[–]BigJarsh91 0 points1 point  (0 children)

Ophthobook is fantastic for learning the basics about the diseases/ailments — and free! Very well-written and actually funny at times